Organization
PEDRO C PADILLA M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO C PADILLA M.D. (PRESIDENT)
(636) 528-6844
Entity
Organization
Contact information
Practice address
20 MANOR DR, TROY, MO 63379-0267
(636) 528-6844
(636) 462-2809
Mailing address
PO BOX 267, TROY, MO 63379-0267
(636) 528-6844
(636) 462-2809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35762
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201214509
—
MO
01
—
826343353A
RAILROAD MEDICARE
MO
Enumeration date
03/01/2007
Last updated
07/12/2012
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